NREMT EMR EXAM 2025-2026 ACTUAL EXAM 200 EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS) WITH
RATIONALES |ALREADY GRADED A+
1. You arrive at the scene of a car accident. A conscious patient complains of neck pain. What is your
first action?
A. Assess airway
B. Manual cervical spine stabilization ✔
C. Apply oxygen
D. Perform rapid trauma assessment
Rationale: Suspected spinal injury requires immediate stabilization before other interventions.
2. A patient is unresponsive and apneic. What is the first step in BLS?
A. Check pulse
B. Activate EMS and begin CPR ✔
C. Administer oxygen
D. Perform recovery position
Rationale: Early CPR is crucial for survival in cardiac arrest.
3. A patient with chest pain has a history of angina. Which assessment is priority?
A. Skin color
B. Vital signs and ECG monitoring ✔
C. Capillary refill
D. Blood glucose
Rationale: Rapid assessment of cardiac status is essential for chest pain evaluation.
4. A 60-year-old patient is experiencing difficulty breathing and wheezing. What is the most
appropriate intervention?
A. Encourage coughing
B. Administer prescribed albuterol via nebulizer ✔
C. Place in supine position
D. Restrict fluids
Rationale: Bronchodilators relieve airway constriction in asthma or COPD exacerbations.
5. A patient has severe bleeding from a leg laceration. What is the first step?
,A. Apply ice
B. Direct pressure ✔
C. Elevate the leg only
D. Apply tourniquet immediately
Rationale: Direct pressure is the first-line intervention to control external bleeding.
6. During a seizure, the patient is lying on the floor. What is the priority action?
A. Restrain limbs
B. Protect the patient from injury ✔
C. Insert oral airway
D. Give oral medications
Rationale: Safety is the primary concern during a seizure; restraint is dangerous.
7. A patient is found unresponsive, breathing irregularly, and pulseless. What is your immediate
action?
A. Administer oxygen
B. Begin CPR ✔
C. Elevate legs
D. Monitor vitals
Rationale: Immediate CPR improves chances of survival in cardiac arrest.
8. A patient complains of shortness of breath and has swelling in both legs. What is the most likely
condition?
A. Pneumothorax
B. Asthma
C. Congestive heart failure ✔
D. Pulmonary embolism
Rationale: Bilateral edema and dyspnea are hallmark signs of CHF.
9. A patient reports sudden, severe chest pain radiating to the left arm and jaw. What is the priority?
A. Administer oral analgesics
B. Encourage rest
C. Activate EMS and prepare for rapid transport ✔
D. Apply ice
Rationale: Signs suggest acute myocardial infarction requiring immediate intervention.
,10. A patient is choking and cannot breathe or speak. What is the first intervention for an adult?
A. Encourage coughing
B. Perform abdominal thrusts (Heimlich maneuver) ✔
C. Give water
D. Slap the back only
Rationale: Abdominal thrusts relieve airway obstruction in a conscious adult.
11. A diabetic patient is confused, diaphoretic, and has a weak pulse. Which action is most
appropriate?
A. Administer insulin
B. Give 15–20 g fast-acting carbohydrate ✔
C. Restrict fluids
D. Encourage exercise
Rationale: Hypoglycemia can be life-threatening and requires rapid glucose replacement.
12. A patient with suspected stroke presents with facial droop and slurred speech. Which scale helps
identify stroke severity?
A. Glasgow Coma Scale
B. APGAR
C. Cincinnati Prehospital Stroke Scale ✔
D. NIH Pain Scale
Rationale: The Cincinnati Prehospital Stroke Scale identifies stroke symptoms in the field.
13. A patient has an open fracture with bone protruding. What is your first intervention?
A. Apply splint
B. Cover with sterile dressing ✔
C. Attempt to push bone back in
D. Apply ice directly
Rationale: Covering the wound prevents contamination and reduces infection risk.
14. During transport, a patient complains of worsening shortness of breath and chest pain. What is
your priority?
A. Monitor vitals only
B. Administer oral fluids
C. Administer supplemental oxygen and monitor vitals ✔
D. Encourage deep breathing exercises
Rationale: Oxygenation and continuous monitoring are essential for patient stability.
, 15. A patient is found with a suspected opioid overdose, unresponsive and with slow respirations.
What is the priority intervention?
A. Administer oxygen
B. Administer naloxone as prescribed ✔
C. Place supine
D. Monitor vitals only
Rationale: Naloxone reverses opioid-induced respiratory depression.
16. A patient presents with a rash, swelling, and difficulty breathing after a bee sting. What is the
priority intervention?
A. Apply ice
B. Monitor vitals
C. Administer epinephrine ✔
D. Give oral antihistamines
Rationale: Anaphylaxis requires immediate epinephrine administration to prevent airway compromise.
17. A patient with chest pain is hypotensive and diaphoretic. What is the likely condition?
A. Stable angina
B. Cardiogenic shock ✔
C. Pulmonary embolism
D. Pneumothorax
Rationale: Hypotension, diaphoresis, and chest pain are indicative of cardiogenic shock.
18. A patient has a burn covering the anterior chest. What is the first priority?
A. Apply ointment
B. Assess airway and breathing ✔
C. Elevate the chest
D. Apply cold water directly
Rationale: Airway compromise is life-threatening and takes priority over burn care.
19. A patient is having a tonic-clonic seizure. What should the EMT do?
A. Restrain the patient
B. Place a tongue depressor in the mouth
C. Clear the area and protect the head ✔
QUESTIONS AND CORRECT VERIFIED ANSWERS) WITH
RATIONALES |ALREADY GRADED A+
1. You arrive at the scene of a car accident. A conscious patient complains of neck pain. What is your
first action?
A. Assess airway
B. Manual cervical spine stabilization ✔
C. Apply oxygen
D. Perform rapid trauma assessment
Rationale: Suspected spinal injury requires immediate stabilization before other interventions.
2. A patient is unresponsive and apneic. What is the first step in BLS?
A. Check pulse
B. Activate EMS and begin CPR ✔
C. Administer oxygen
D. Perform recovery position
Rationale: Early CPR is crucial for survival in cardiac arrest.
3. A patient with chest pain has a history of angina. Which assessment is priority?
A. Skin color
B. Vital signs and ECG monitoring ✔
C. Capillary refill
D. Blood glucose
Rationale: Rapid assessment of cardiac status is essential for chest pain evaluation.
4. A 60-year-old patient is experiencing difficulty breathing and wheezing. What is the most
appropriate intervention?
A. Encourage coughing
B. Administer prescribed albuterol via nebulizer ✔
C. Place in supine position
D. Restrict fluids
Rationale: Bronchodilators relieve airway constriction in asthma or COPD exacerbations.
5. A patient has severe bleeding from a leg laceration. What is the first step?
,A. Apply ice
B. Direct pressure ✔
C. Elevate the leg only
D. Apply tourniquet immediately
Rationale: Direct pressure is the first-line intervention to control external bleeding.
6. During a seizure, the patient is lying on the floor. What is the priority action?
A. Restrain limbs
B. Protect the patient from injury ✔
C. Insert oral airway
D. Give oral medications
Rationale: Safety is the primary concern during a seizure; restraint is dangerous.
7. A patient is found unresponsive, breathing irregularly, and pulseless. What is your immediate
action?
A. Administer oxygen
B. Begin CPR ✔
C. Elevate legs
D. Monitor vitals
Rationale: Immediate CPR improves chances of survival in cardiac arrest.
8. A patient complains of shortness of breath and has swelling in both legs. What is the most likely
condition?
A. Pneumothorax
B. Asthma
C. Congestive heart failure ✔
D. Pulmonary embolism
Rationale: Bilateral edema and dyspnea are hallmark signs of CHF.
9. A patient reports sudden, severe chest pain radiating to the left arm and jaw. What is the priority?
A. Administer oral analgesics
B. Encourage rest
C. Activate EMS and prepare for rapid transport ✔
D. Apply ice
Rationale: Signs suggest acute myocardial infarction requiring immediate intervention.
,10. A patient is choking and cannot breathe or speak. What is the first intervention for an adult?
A. Encourage coughing
B. Perform abdominal thrusts (Heimlich maneuver) ✔
C. Give water
D. Slap the back only
Rationale: Abdominal thrusts relieve airway obstruction in a conscious adult.
11. A diabetic patient is confused, diaphoretic, and has a weak pulse. Which action is most
appropriate?
A. Administer insulin
B. Give 15–20 g fast-acting carbohydrate ✔
C. Restrict fluids
D. Encourage exercise
Rationale: Hypoglycemia can be life-threatening and requires rapid glucose replacement.
12. A patient with suspected stroke presents with facial droop and slurred speech. Which scale helps
identify stroke severity?
A. Glasgow Coma Scale
B. APGAR
C. Cincinnati Prehospital Stroke Scale ✔
D. NIH Pain Scale
Rationale: The Cincinnati Prehospital Stroke Scale identifies stroke symptoms in the field.
13. A patient has an open fracture with bone protruding. What is your first intervention?
A. Apply splint
B. Cover with sterile dressing ✔
C. Attempt to push bone back in
D. Apply ice directly
Rationale: Covering the wound prevents contamination and reduces infection risk.
14. During transport, a patient complains of worsening shortness of breath and chest pain. What is
your priority?
A. Monitor vitals only
B. Administer oral fluids
C. Administer supplemental oxygen and monitor vitals ✔
D. Encourage deep breathing exercises
Rationale: Oxygenation and continuous monitoring are essential for patient stability.
, 15. A patient is found with a suspected opioid overdose, unresponsive and with slow respirations.
What is the priority intervention?
A. Administer oxygen
B. Administer naloxone as prescribed ✔
C. Place supine
D. Monitor vitals only
Rationale: Naloxone reverses opioid-induced respiratory depression.
16. A patient presents with a rash, swelling, and difficulty breathing after a bee sting. What is the
priority intervention?
A. Apply ice
B. Monitor vitals
C. Administer epinephrine ✔
D. Give oral antihistamines
Rationale: Anaphylaxis requires immediate epinephrine administration to prevent airway compromise.
17. A patient with chest pain is hypotensive and diaphoretic. What is the likely condition?
A. Stable angina
B. Cardiogenic shock ✔
C. Pulmonary embolism
D. Pneumothorax
Rationale: Hypotension, diaphoresis, and chest pain are indicative of cardiogenic shock.
18. A patient has a burn covering the anterior chest. What is the first priority?
A. Apply ointment
B. Assess airway and breathing ✔
C. Elevate the chest
D. Apply cold water directly
Rationale: Airway compromise is life-threatening and takes priority over burn care.
19. A patient is having a tonic-clonic seizure. What should the EMT do?
A. Restrain the patient
B. Place a tongue depressor in the mouth
C. Clear the area and protect the head ✔
